Medical Referral Supervisor

Become a part of our caring community

The Supervisor, Medical Referrals schedules and pre-registers patients for exams and procedures with specialists and providers outside of the primary care physician’s office. The Supervisor, Medical Referrals operates according to detailed, established guidelines and procedures. You will apply independent judgment and analyze varying factors to resolve routine problems. Additionally, the Supervisor collaborates with management and top professionals/specialists in the selection of methods, techniques, and analytical approach.

You will report to the Associate Operations Director.

The Supervisor, Medical Referrals gathers and communicates all relative information and preparation instructions to patient and referring providers. This position is responsible for decisions related to scheduling, planning, and daily operations. Perform escalated or more complex similar work and manage a group of typically support and technical associates; coordinates and provide daily oversight to associates. Ensure consistency in execution across team.

Hold team members accountable for following established policies.

Use your skills to make an impact

Required Qualifications

• 3 plus years in a physician office, health care, or managed care environment
• Experience in ICD-9, ICD-10 and CPT coding
• Minimum of 2 year of management or supervisory experience
• Proficient with Microsoft Office products
• Valid driver’s license and transportation necessary
• Excellent written and verbal communication skills, with strong analytical, organizational, and time management abilities.
• This role is considered to be in a patient facing environment and is part of Humana’s Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB
• Must be passionate about contributing to an organization focused on continuously improving consumer experiences

Preferred Qualifications

• ICD-10 Certification
• Certified Medical Coder with one of the following active certifications and with a high degree of competency (CPC, CPC-H, or CPMA from AAPC; or CCA, CCSP, CCS from AHIMA)
• CRC Certification through AAPC
• MRA and HEDIS knowledge

Location: We require regular travel to multiple offices within the Daytona, FL market

Hours: Monday - Friday 8am to 5pm

Alert

Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from  with instructions on how to add the information into your official application on Humana’s secure website.

Scheduled Weekly Hours

40

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.

$59,300 - $80,900 per year

This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

Description of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

About Us

About Conviva Senior Primary Care:
Conviva Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. As part of Humana’s Primary Care Organization, which includes Center Well Senior Primary Care, Conviva’s innovative, value-based approach means each patient gets the best care, when needed…